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Association of the apparent diffusion coefficient with maturity in adolescent sacroiliac joints

Bray, TJP; Vendhan, K; Roberts, J; Atkinson, D; Punwani, S; Sen, D; Ioannou, Y; (2016) Association of the apparent diffusion coefficient with maturity in adolescent sacroiliac joints. Journal of Magnetic Resonance Imaging , 44 (3) pp. 556-564. 10.1002/jmri.25209. Green open access

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Abstract

PURPOSE: To determine the extent to which apparent diffusion coefficient (ADC) values vary with skeletal maturity in adolescent joints. MATERIALS AND METHODS: A retrospective study was performed with Institutional Review Board (IRB) approval. We used a picture archiving and communication system (PACS) search to identify and recruit all adolescents who had undergone 1.5T magnetic resonance imaging (MRI) of the sacroiliac joints (SIJs) between January 2010 and June 2015, and had no evidence of sacroiliitis and normal inflammatory markers. In all, 55 individuals were assessed. For each patient, coronal and sagittal images of the sacrum were visually analyzed to determine sacral maturity. Patients were divided into three groups depending on the degree of fusion of the sacral segmental apophyses: “Fused,” “Partial,” and “Unfused.” For each group, SIJ ADC was measured using a linear region-of-interest technique. RESULTS: Mean ADC values were 690 × 10−6 mm2/s in the fused group, 720 × 10−6 mm2/s in the partial group, and 842 × 10−6 mm2/s in the unfused group. ADC values were significantly higher in the unfused group than in the fused group (P = 0.046). ADC values were also higher in unfused subjects than partially fused subjects (P = 0.074). CONCLUSION: Joint ADC values are higher in skeletally immature (unfused) patients than in skeletally more mature (fused) patients. ADC values measured in the unfused group overlap with those previously reported in sacroiliitis. These results suggest that ADC measurements in adolescent joints must be interpreted in light of joint maturity. Joint immaturity may lead to misdiagnosis of sacroiliitis, since immature juxta-articular bone may appear similar to inflammation.

Type: Article
Title: Association of the apparent diffusion coefficient with maturity in adolescent sacroiliac joints
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/jmri.25209
Publisher version: http://dx.doi.org/10.1002/jmri.25209
Language: English
Additional information: Copyright © 2016 The Authors Journal of Magnetic Resonance Imaging published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine. This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: diffusion-weighted imaging; apparent diffusion coefficient; adolescents; inflammation; arthritis
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Metabolism and Experi Therapeutics
URI: https://discovery.ucl.ac.uk/id/eprint/10044265
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